Organization
VALLEY DERMATOPATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY S. HOUSE M.D. (DIRECTOR)
(412) 741-9741
Entity
Organization
Contact information
Practice address
419 WALNUT ST, SEWICKLEY, PA 15143-1535
(412) 741-9741
(412) 741-9744
Mailing address
419 WALNUT ST, SEWICKLEY, PA 15143-1535
(412) 741-9741
(412) 741-9744
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
04-459917
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01922960
—
PA
Enumeration date
01/12/2006
Last updated
07/21/2008
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